Strategic Revenue Management Specialist

Health & Human Services Comm; Austin (TX); On-site; USD 48,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Career advancement

Job summary

Health & Human Services Commission in Texas seeks a Program Specialist IV in Revenue Management to provide complex technical assistance and consultative services to facility reimbursement staff across 13 SSLCs and state facilities. You will develop, implement, and monitor reimbursement programs and ensure accurate claims processing for Medicare, Medicaid, and other payers.

The role involves training Reimbursement Officers, interpreting state and federal rules, coordinating with HHSC and SSA, and

Qualifications

• Knowledge of federal and state laws affecting charges.
• Knowledge of HHSC policies and procedures affecting third-party reimbursement.
• Experience with automated billing systems.
• Experience with reconciling accounts receivable.
• Ability to train others.
• Ability to prepare concise reports.

Responsibilities

• Plan and direct MR Reimbursement program development and implementation in State Office and out-stationed Reimbursement offices located in 13 SSLCs.
• Reviews/researches State and Federal laws, rules, and regulations for impact on reimbursement; plans, develops, implements, coordinates, maintains, and interprets policies and standards for ICF/IID Reimbursement program; and develops and maintains procedures and reports related to the use of the Claims2 Automated Patient Billing System.
• Identifies operational problems and provides assistance to Reimbursement Office staff in resolution of problems; coordinates with Internal Audit, Center for Policy and Innovation, ID facilities, and other agency management/staff on issues that impact SSLC revenue.
• Provides instruction and guidance on reimbursement to managers and staff and provides training to all Reimbursement Officers on all facets of billing and collection of revenue.
• Serves as liaison with HHSC, Social Security Administration, other agencies management and staff to coordinate program activities and resolve problems and represents the agency at meetings, conferences, committees, workgroups, and hearings to address significant issues.
• Evaluates program, procedures, and processes for effectiveness through review and reports results or make recommendations to resolve issues or improve performance.
• Prepares management reports, analyzes information to keep management informed, and responds to issues.
• Analyzes current/potential effects of current/proposed legislation, regulations, or court rulings on agency operations.

Skills

Written and oral communication

Electronic billing

Public administration basics

Account reconciliation

Billing policy knowledge

Tools

Billing software

Job description

Health & Human Services Commission in Texas seeks a Program Specialist IV in Revenue Management to provide complex technical assistance and consultative services to facility reimbursement staff across 13 SSLCs and state facilities. You will develop, implement, and monitor reimbursement programs and ensure accurate claims processing for Medicare, Medicaid, and other payers.

The role involves training Reimbursement Officers, interpreting state and federal rules, coordinating with HHSC and SSA, and